Childhood Autism Rating Scale – CARS-2: Adaptación Transcultural y Evidencias de Validez de Contenido para el Contexto Brasileño
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Este artículo tuvo como objetivo traducir y adaptar culturalmente la Childhood Autism Rating Scale – Second Edition (CARS-2) al portugués brasileño. La CARS-2 comprende la versión estándar (CARS-ST), la versión de alto funcionamiento (CARS-HF) y un cuestionario para cuidadores (CARS-QPC). La traducción fue realizada por dos traductores independientes, seguida de una síntesis de las versiones traducidas. Nueve expertos en evaluación psicológica y/o autismo revisaron los dos formularios y el cuestionario (tres para cada uno), sugiriendo modificaciones para alinear mejor con la comprensión actual del autismo, reducir la estigmatización, eliminar sesgos de género y mejorar la claridad en la cultura brasileña. Todos los ítems en los formularios de evaluación lograron coeficientes de validez de contenido satisfactorios (CVC > 0.80), con solo unos pocos ítems en el cuestionario requiriendo ajustes (CVC < 0.80). Posteriormente, se realizó una evaluación con el público objetivo, incluidos profesionales de la salud y la comunidad autista, para evaluar la aplicabilidad y posibles cambios. Las revisiones buscaban actualizar la descripción del autismo y usar términos inclusivos. Finalmente, los formularios de evaluación fueron retrotraducidos para su revisión y aprobación de la versión brasileña de la CARS-2 por la editorial WPS. Estos pasos han asegurado evidencia satisfactoria de validez de contenido de la CARS-2 en aspectos semánticos, idiomáticos, experienciales y conceptuales. Se concluye que la versión inicial del instrumento ha sido adaptada al contexto brasileño y se encuentra a la espera de estudios de evidencias de validez y normas para completar el proceso y posibilitar su uso profesional en el contexto del trastorno del espectro autista.
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